Partnership Application

Email *

Email address *

This PARTNERSHIP Agreement is between WESTSIDE RISING and... (Enter your organization's/Institution's name OR YOUR name if you are an individual leader). *

I agree to PARTNER with WESTSIDE RISING as an ORGANIZATION/INSTITUTION or INDIVIDUAL. (Check all that apply) *

Individual Organization Institution Other:

Who are the primary and secondary contacts for participation and interaction with WESTSIDE RISING? (Please list their name, title, email, and phone number for BOTH representatives). *

As PARTNERS, I agree to the following (Check all that apply, select at least 1 item). Provide additional information if needed in the "other" section. WESTSIDE RISING will reciprocate. *

Will collaborate and partner to host and/or facilitate events or activities that support the activation and development of West Side residents and communities. Promote and share information about resources, community, and partner activities and events via email, text, social media, etc. Positively and effectively represent this partnership, its purpose, and work. Will support and attend monthly partner meetings. Both parties will obtain written permission via email to use and display organization's logos, brand, or likeness on literature or other promotional materials. Provide knowledge and expertise to support the partnership. I/We want to participate in Community Organizing efforts for Social Justice/Impact and systemic change. Other:

How can WESTSIDE RISING Support you/your organization/institution? Please provide specifics about the services or supports desired, or questions for clarity in the "other" section. *

Organic collaboration and partnership Other:

This Partnership Agreement is effective immediately upon completion and is perpetual or will terminate on the date indicated in the "other" option. Otherwise, this agreement can be terminated at any time through a written notice by and authorized representative, signed, dated, and emailed to wr.info@westsiderising.org. *

I understand and agree Other or additional stipulations are below. Other:

Type the name of the authorized representative for you/your organization/institution (this is a digital signature). *

Please enter the date this form was completed. *

WESTSIDE RISING Partnership Agreement